CMS Formulary

Displaying 180211-180220 of 1611142 results.
ID: 180211
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1099687
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180212
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312036
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180213
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 856940
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 5550
Qty Limit Days: 30
ID: 180214
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 834137
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180215
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 810002
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180216
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 809990
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180217
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 809994
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180218
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 809998
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180219
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 995156
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180220
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 308963
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0